=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700947157
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JANET ELIZABETH FISCHER M.D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/12/2006
-----------------------------------------------------
Last Update Date | 02/10/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 730 LA GUARDIA ST
-----------------------------------------------------
City | SALINAS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93905-3354
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 831-755-4452
-----------------------------------------------------
Fax | 831-796-3356
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 905 CALLE NEGOCIO #73034
-----------------------------------------------------
City | SAN CLEMENTE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92673-1200
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 949-735-8693
-----------------------------------------------------
Fax | 760-577-2064
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084P0800X
-----------------------------------------------------
Taxonomy Name | Psychiatry Physician
-----------------------------------------------------
License Number | A89318
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------